{"id":1161,"date":"2020-12-02T12:50:55","date_gmt":"2020-12-02T12:50:55","guid":{"rendered":"http:\/\/profmunteanu.ro\/?p=1161"},"modified":"2023-09-05T08:50:38","modified_gmt":"2023-09-05T07:50:38","slug":"tumorile-maligne-oculare-melanomul-uveal","status":"publish","type":"post","link":"https:\/\/profmunteanu.ro\/en\/tumorile-maligne-oculare-melanomul-uveal\/","title":{"rendered":"Tumorile maligne oculare &#8211; Melanomul uveal"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Melanomul uveal este o form\u0103 rar\u0103 de cancer ocular care afecteaz\u0103 pigmentul responsabil de colorarea irisului, numit melanocit. Fiind adesea asimptomatic \u00een stadiile incipiente, melanomul uveal poate fi dificil de detectat \u0219i este adesea diagnosticat \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen ocular de rutin\u0103. Simptomele pot ap\u0103rea \u00een stadiile avansate \u0219i pot include modific\u0103ri ale vederii, viziune \u00eence\u021bo\u0219at\u0103 \u0219i apari\u021bia unor pete \u00eentunecate \u00een ochi. Cauzele exacte ale melanomului uveal nu sunt pe deplin \u00een\u021belese, \u00eens\u0103 exist\u0103 unele factori de risc, precum expunerea la radia\u021bii UV \u0219i anumite anomalii genetice. Tratamentul melanomului uveal poate implica diverse op\u021biuni, precum radioterapia, terapia cu laser, chimioterapia sau chiar \u00eendep\u0103rtarea chirurgical\u0103 a ochiului afectat, \u00een func\u021bie de stadiul \u0219i localizarea tumorii.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Introducere<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Reprezint\u0103 cea mai frecvent\u0103 tumor\u0103 malign\u0103 intraocular\u0103 primar\u0103 la adul\u021bi. Este \u00een principal coroidian (85%), de corp ciliar (5\u20138%) sau iris (3\u20135%). &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>28-37%<\/strong> din melanoamele uveale <strong>nu sunt diagnosticate de la prima investigatie, si pot s\u0103&nbsp; nu fie insotite de nici un simptom!<\/strong>&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aspectul este de mas\u0103 tumoral\u0103\nsupraelevat\u0103, pigmentat\u0103 uniform\/neuniform, cu modificari vasculare, +\/-\ncomplica\u021bii locale (dezlipire de retin\u0103, hemoragii, pliuri corioretiniene).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De aceea este esential ca <strong>la fiecare consultatie<\/strong> sa se efectueze <strong>retinografie<\/strong> if <strong><a rel=\"noreferrer noopener\" href=\"https:\/\/profmunteanu.ro\/en\/ecografia-oculara\/\" target=\"_blank\">ecografie ocular\u0103 <\/a><\/strong>&nbsp;pentru a exclude prezenta unei tumori intraoculare. Apoi, <a href=\"https:\/\/profmunteanu.ro\/en\/angiofluorografia-retiniana\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>angiofluorografia<\/strong> <\/a>este obligatorie, de elec\u021bie, \u00een diferen\u021bierea \u00eentre nevul (benign) \u0219i melanomul coroidian (malign).<\/p>\n\n\n\n<figure class=\"wp-block-gallery aligncenter has-nested-images columns-1 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"397\" data-id=\"6391\" src=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-1024x397.png\" alt=\"Tumorile maligne oculare - Melanomul uveal, oftalmologie\" class=\"wp-image-6391\" srcset=\"https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-1024x397.png 1024w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-300x116.png 300w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-768x297.png 768w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie-18x7.png 18w, https:\/\/profmunteanu.ro\/wp-content\/uploads\/2023\/09\/tumori-maligne-oculare-oftalmologie.png 1402w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Abordari terapeutice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Este necesar\u0103 o abordare diagnostic\u0103 complex\u0103, \u00een cadrul c\u0103reia se stabile\u0219te grosimea, diametrul bazei, localizarea exact\u0103 \u0219i tipul tumorii pentru alegerea <strong>abord\u0103rii terapeutice<\/strong> <strong>optime:<\/strong>&nbsp;&nbsp;    <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Termoterapia transpupilara (TTT) &#8211; <em><strong>disponibila in curand in clinica noastra<\/strong><\/em><\/li>\n\n\n\n<li>Protonoterapia<\/li>\n\n\n\n<li>Brahiterapia &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/li>\n\n\n\n<li>Radioterapia stereotactica &#8211; CyberKnife. <\/li>\n<\/ul>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Descoperi\u021bi mai multe informa\u021bii valoroase despre oftalmologie \u0219i s\u0103n\u0103tatea ochilor vizion\u00e2nd materialele realizate de exper\u021bi \u00een domeniu de pe canalul nostru de <a href=\"https:\/\/www.youtube.com\/@profmunteanu\">YouTube<\/a>.<\/em><\/h3>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Prof. univ. Dr. M. Munteanu, MD PhD FEBO<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"http:\/\/profmunteanu.ro\/wp-content\/uploads\/2019\/05\/dr_munteanu-682x1024.png\" alt=\"\" class=\"wp-image-126\" width=\"105\" height=\"157\"\/><\/figure>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Melanomul uveal este o form\u0103 rar\u0103 de cancer ocular care afecteaz\u0103 pigmentul responsabil de colorarea irisului, numit melanocit. Fiind adesea asimptomatic \u00een stadiile incipiente, melanomul uveal poate fi dificil de detectat \u0219i este adesea diagnosticat \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen ocular de rutin\u0103. Simptomele pot ap\u0103rea \u00een stadiile avansate \u0219i pot include modific\u0103ri ale vederii, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3950,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-1161","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tumorile maligne oculare - Melanomul uveal - Clinica Oftalmologica Dr. Munteanu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/profmunteanu.ro\/en\/tumorile-maligne-oculare-melanomul-uveal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tumorile maligne oculare - Melanomul uveal - Clinica Oftalmologica Dr. Munteanu\" \/>\n<meta property=\"og:description\" content=\"Melanomul uveal este o form\u0103 rar\u0103 de cancer ocular care afecteaz\u0103 pigmentul responsabil de colorarea irisului, numit melanocit. Fiind adesea asimptomatic \u00een stadiile incipiente, melanomul uveal poate fi dificil de detectat \u0219i este adesea diagnosticat \u00eent\u00e2mpl\u0103tor \u00een timpul unui examen ocular de rutin\u0103. 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